Question 1

Nodes that are palpable just inferior to the chin are the

Accepted Answer

A) infraclavicular. 
B) Virchow. 
C) submandibular. 
D) parotid. 
E) submental. 
A) infraclavicular. 
B) Virchow. 
C) submandibular. 
D) parotid. 
E) submental. E

Question 2

Transillumination is done during an examination of the lymphatic system to

Accepted Answer

A) detect lymphatic pulsation. 
B) distinguish nodes from cysts. 
C) evaluate nodal contours. 
D) observe erythematous lesions. 
E) distinguish blood vessels from nodes. 
A) detect lymphatic pulsation. 
B) distinguish nodes from cysts. 
C) evaluate nodal contours. 
D) observe erythematous lesions. 
E) distinguish blood vessels from nodes. B

Question 3

To palpate the inguinal nodes, you should have the patient

Accepted Answer

A) bend over a table and cough. 
B) lie supine, with the knees slightly flexed. 
C) lie supine, with the legs extended. 
D) stand with the back extended. 
E) lie prone, with the knees slightly flexed. 
A) bend over a table and cough. 
B) lie supine, with the knees slightly flexed. 
C) lie supine, with the legs extended. 
D) stand with the back extended. 
E) lie prone, with the knees slightly flexed. B

Question 4

The harder and more discrete a node, the more likely a(n)

Accepted Answer

A) innocent cause. 
B) infection. 
C) malignancy. 
D) metabolic disease. 
E) drug reaction. 
A) innocent cause. 
B) infection. 
C) malignancy. 
D) metabolic disease. 
E) drug reaction.

Question 5

Which landmark is the dividing line between the anterior and posterior cervical triangles?

Accepted Answer

A) Clavicle 
B) Cervical spine 
C) Sternocleidomastoid 
D) Sternum 
E) Hyoid bone 
A) Clavicle 
B) Cervical spine 
C) Sternocleidomastoid 
D) Sternum 
E) Hyoid bone

Question 6

Lymph ducts merge into the venous system at the

Accepted Answer

A) portal vein. 
B) pulmonic vein. 
C) subclavian veins. 
D) vena cava. 
E) jugular veins. 
A) portal vein. 
B) pulmonic vein. 
C) subclavian veins. 
D) vena cava. 
E) jugular veins.

Question 7

Tender nodes associated with cat scratch disease are most commonly found in which area?

Accepted Answer

A) Epitrochlear 
B) Popliteal 
C) Axilla 
D) Inguinal 
E) Supraclavicular 
A) Epitrochlear 
B) Popliteal 
C) Axilla 
D) Inguinal 
E) Supraclavicular

Question 8

Palpation of the scalene triangle for supraclavicular nodes should be done with

Accepted Answer

A) fingers hooked over the clavicle next to the sternocleidomastoid muscle. 
B) fingers along the depression above the medial humeral condyle. 
C) the pads of three fingers in a superficial circular motion. 
D) tissue rolled gently against the chest wall, moving sideways. 
E) the pads of the fingertips along the anterior surface of the trapezius muscle. 
A) fingers hooked over the clavicle next to the sternocleidomastoid muscle. 
B) fingers along the depression above the medial humeral condyle. 
C) the pads of three fingers in a superficial circular motion. 
D) tissue rolled gently against the chest wall, moving sideways. 
E) the pads of the fingertips along the anterior surface of the trapezius muscle.

Question 9

Serum sickness is usually characterized first by the appearance of:

Accepted Answer

A) diffuse lymph node enlargement. 
B) joint pain. 
C) urticaria. 
D) fever. 
E) a single enlarged posterior cervical node. 
A) diffuse lymph node enlargement. 
B) joint pain. 
C) urticaria. 
D) fever. 
E) a single enlarged posterior cervical node.

Question 10

An increased number of lymphocytes in the blood represents a systemic response to _____ infections.

Accepted Answer

A) most bacterial 
B) most viral 
C) all parasitic 
D) HIV 
E) all fungal 
A) most bacterial 
B) most viral 
C) all parasitic 
D) HIV 
E) all fungal

Question 11

Which nodes are also called Virchow nodes?

Accepted Answer

A) Internal mammary 
B) Anterior axillary 
C) Deep cervical 
D) Supraclavicular 
E) Preauricular 
A) Internal mammary 
B) Anterior axillary 
C) Deep cervical 
D) Supraclavicular 
E) Preauricular

Question 12

The predominant formed elements of normal lymph fluid are

Accepted Answer

A) red blood cells. 
B) white blood cells. 
C) platelets. 
D) antigens. 
E) antibodies. 
A) red blood cells. 
B) white blood cells. 
C) platelets. 
D) antigens. 
E) antibodies.

Question 13

It is not unusual to find postauricular and occipital nodes in

Accepted Answer

A) children younger than 2 years of age. 
B) school-age children. 
C) adolescents. 
D) adults. 
E) older adults. 
A) children younger than 2 years of age. 
B) school-age children. 
C) adolescents. 
D) adults. 
E) older adults.

Question 14

Enlarged inguinal nodes are likely to be associated with

Accepted Answer

A) cat scratch disease. 
B) pelvic inflammatory disease. 
C) uterine cancer. 
D) testicular cancer. 
E) genital herpes. 
A) cat scratch disease. 
B) pelvic inflammatory disease. 
C) uterine cancer. 
D) testicular cancer. 
E) genital herpes.

Question 15

Normal supraclavicular lymph nodes are

Accepted Answer

A) clustered in a capsule. 
B) firm and discrete. 
C) less than 3 cm in diameter. 
D) not palpable. 
E) matted. 
A) clustered in a capsule. 
B) firm and discrete. 
C) less than 3 cm in diameter. 
D) not palpable. 
E) matted.

Question 16

Nodes located at the base of the skull are the _____ nodes.

Accepted Answer

A) preauricular 
B) postauricular 
C) occipital 
D) epitrochlear 
E) parotid 
A) preauricular 
B) postauricular 
C) occipital 
D) epitrochlear 
E) parotid

Question 17

When examining the epitrochlear nodes, which joint should be supported?

Accepted Answer

A) Elbow 
B) Knee 
C) Shoulder 
D) Wrist 
E) First metacarpophalangeal 
A) Elbow 
B) Knee 
C) Shoulder 
D) Wrist 
E) First metacarpophalangeal

Question 18

Lymphoid tissue normally regresses to adult size by

Accepted Answer

A) 2 years of age. 
B) 5 years of age. 
C) 10 years of age. 
D) puberty. 
E) the early 20s. 
A) 2 years of age. 
B) 5 years of age. 
C) 10 years of age. 
D) puberty. 
E) the early 20s.

Question 19

An organ that is essential to the development of protective immune function in infants but has little or no demonstrated function in adults is the

Accepted Answer

A) spleen. 
B) appendix. 
C) thymus. 
D) pancreas. 
E) liver. 
A) spleen. 
B) appendix. 
C) thymus. 
D) pancreas. 
E) liver.

Question 20

Which lymphatic tissue is normally visible during the physical examination?

Accepted Answer

A) Adenoids 
B) Peyer patches 
C) Palatine tonsils 
D) Thymus 
E) Submandibular 
A) Adenoids 
B) Peyer patches 
C) Palatine tonsils 
D) Thymus 
E) Submandibular

Exam 9: Lymphatic System

Nodes that are palpable just inferior to the chin are the

Transillumination is done during an examination of the lymphatic system to

To palpate the inguinal nodes, you should have the patient

The harder and more discrete a node, the more likely a(n)

Which landmark is the dividing line between the anterior and posterior cervical triangles?

Lymph ducts merge into the venous system at the

Tender nodes associated with cat scratch disease are most commonly found in which area?

Palpation of the scalene triangle for supraclavicular nodes should be done with

Serum sickness is usually characterized first by the appearance of:

An increased number of lymphocytes in the blood represents a systemic response to _____ infections.

Which nodes are also called Virchow nodes?

The predominant formed elements of normal lymph fluid are

It is not unusual to find postauricular and occipital nodes in

Enlarged inguinal nodes are likely to be associated with

Normal supraclavicular lymph nodes are

Nodes located at the base of the skull are the _____ nodes.

When examining the epitrochlear nodes, which joint should be supported?

Lymphoid tissue normally regresses to adult size by

An organ that is essential to the development of protective immune function in infants but has little or no demonstrated function in adults is the

Which lymphatic tissue is normally visible during the physical examination?

The History and Interviewing Process

Cultural Competency

Examination Techniques and Equipment

Vital Signs and Pain Assessment

Mental Status

Growth and Measurement

Nutrition

Skin, Hair, and Nails

Head and Neck

Eyes

Ears, Nose, and Throat

Chest and Lungs

Heart

Blood Vessels

Breasts and Axillae

Abdomen

Female Genitalia

Male Genitalia

Anus, Rectum, and Prostate

Musculoskeletal System

Neurologic System

Sports Participation Evaluation

Putting It All Together

Taking the Next Steps: Critical Thinking

Recording Information

Emergency or Life-Threatening Situations

Filters